<%@ page language="java" import="java.util.*" pageEncoding="utf-8"%>

<table width="700" border="0" cellspacing="2" cellpadding="2">
      <tr>
        <td><table width="100%" border="0" cellspacing="2" cellpadding="2">
          <tr><td height="55" bordercolor="#000000" align="center" style="font-size:22px;">
            <br/><b>广州市建筑垃圾准运证审验申请表</b><br/><br/>
          </td></tr>
        </table></td>
      </tr>
      <tr>
        <td><table width="100%" border="0" cellspacing="0" cellpadding="2">
                
                <tr>
                  <td height="25" bordercolor="#000000" style="padding: 1px 1px 1px 1px;">
                    申请时间：
                    <input name="sarq" style="width:180" value="<s:date name='sarq' format="yyyy年MM月dd日"/>" onclick="WdatePicker({skin:'ext', dateFmt:'yyyy年MM月dd日'});" type="text" class="textdocWdate" readonly />
                  </td>
                  <td align="right" bordercolor="#000000" style="padding: 1px 1px 1px 1px;">
                    受理编号
                    <input name="acceptNo_" value="${acceptNo }" type="text" style="width:130" class="readonly_cls" readonly />
                  </td>
                </tr>
            </table>
        </td>
       </tr>
            <tr>
              <td><table width="100%" border="1" cellspacing="0" cellpadding="2" class="tpl_list_ui">
                <tr>
                  <td width="5%" height="0"></td>
                  <td width="5%"></td>
                  <td width="5%"></td>
                  <td width="5%"></td>
                  <td width="5%"></td>
                  <td width="5%"></td>
                  <td width="5%"></td>
                  <td width="5%"></td>
                  <td width="5%"></td>
                  <td width="5%"></td>
                  <td width="5%"></td>
                  <td width="5%"></td>
                  <td width="5%"></td>
                  <td width="5%"></td>
                  <td width="5%"></td>
                  <td width="5%"></td>
                  <td width="5%"></td>
                  <td width="5%"></td>
                  <td width="5%"></td>
                  <td width="5%"></td>
                </tr>
                <tr>
                  <td bordercolor="#000000" colspan="3" height="25" align="center"><font color="red">*</font> 申请单位</td>
                  <td colspan="17" bordercolor="#000000" style="padding: 1px 1px 1px 1px;">
                    <input class="text" name="sqdw" value="${sqdw}" type="text" style="width:550" onchange="document.getElementById('sqdw_').value=document.getElementById('gsmc').value=this.value;"  required="true"/>
                    <input value="..." type="button" style="width:30" onclick="selectQyxx('${templateCode}');"></input>
                  </td>
                </tr>
                <tr>
                  <td bordercolor="#000000" colspan="3" height="25" align="center">申请单位地址</td>
                  <td colspan="17" bordercolor="#000000" style="padding: 1px 1px 1px 1px;">
                    <input class="text" id="address" name="address" value="${address}" type="text" style="width:100%" required="true" />
                  </td>
                </tr>
                <tr>
                  <td bordercolor="#000000" colspan="3" height="25" align="center">联系人</td>
                  <td colspan="7" bordercolor="#000000" style="padding: 1px 11px 1px 1px;">
                    <input class="text" id="lxr_" name="ywlxr" value="${ywlxr}" type="text" style="width:100%" required="true" onchange="document.getElementById('lxr_').value=this.value;" />
                  </td>
                  <td bordercolor="#000000" colspan="3" height="25" align="center">联系电话</td>
                  <td colspan="7" bordercolor="#000000" style="padding: 1px 1px 1px 1px;">
                    <input class="text" id="ywlxrtel_" name="ywlxrtel" value="${ywlxrtel}" type="text" style="width:100%" required="true" onchange="document.getElementById('lxrtel_').value=document.getElementById('ywlxrtel_').value=this.value;"  />
                  </td>
                </tr>
                <tr>
                  <td bordercolor="#000000" colspan="3" height="25" align="center">申请事项</td>
                  <td colspan="17" bordercolor="#000000" style="padding: 1px 1px 1px 1px;">
                   <input type="checkbox" name="sqsx" value="补办" checked />补办
                  </td>
                </tr>
                <tr>
                  <td bordercolor="#000000" colspan="3" height="25" align="center">备注说明</td>
                  <td colspan="17" bordercolor="#000000" style="padding: 1px 1px 1px 1px;">
					<input class="text" name="bz" value="${bz}" type="text" style="width:100%" />
                  </td>
                </tr>
				<tr>
					<td bordercolor="#000000" rowspan="4" colspan="3" height="25" align="center">申请车辆列表</td>
				</tr>
                <tr>
                	 <td bordercolor="#000000" colspan="4" height="25">车牌号码</td>
                	 <td bordercolor="#000000" colspan="3" height="25">准运证号</td>
                	 <td bordercolor="#000000" colspan="4" height="25">载重量</td>
                	 <td bordercolor="#000000" colspan="2" height="25">车辆类型</td>
                	 <td bordercolor="#000000" colspan="7" height="25">登记日期</td>
                </tr>
                <tr>
                	 <td bordercolor="#000000" colspan="4" height="25">
                	 	<input class="text" name="ieiPost" value="${ieiPost}" type="text" style="width:100%" />
                	 </td>
                	 <td bordercolor="#000000" colspan="3" height="25">
                	 	<input class="text" name="ieiPost" value="${ieiPost}" type="text" style="width:100%" />
                	 </td>
                	 <td bordercolor="#000000" colspan="4" height="25">
                	 	<input class="text" name="ieiPost" value="${ieiPost}" type="text" style="width:100%" />
                	 </td>
                	 <td bordercolor="#000000" colspan="2" height="25">
                	 	<input class="text" name="ieiPost" value="${ieiPost}" type="text" style="width:100%" />
                	 </td>
                	 <td bordercolor="#000000" colspan="7" height="25">
                	 	<input class="text" name="ieiPost" value="${ieiPost}" type="text" style="width:100%" />
                	 </td>
                </tr>
                <tr>
                	 <td bordercolor="#000000" colspan="4" height="25">
                	 	<input class="text" name="ieiPost" value="${ieiPost}" type="text" style="width:100%" />
                	 </td>
                	 <td bordercolor="#000000" colspan="3" height="25">
                	 	<input class="text" name="ieiPost" value="${ieiPost}" type="text" style="width:100%" />
                	 </td>
                	 <td bordercolor="#000000" colspan="4" height="25">
                	 	<input class="text" name="ieiPost" value="${ieiPost}" type="text" style="width:100%" />
                	 </td>
                	 <td bordercolor="#000000" colspan="2" height="25">
                	 	<input class="text" name="ieiPost" value="${ieiPost}" type="text" style="width:100%" />
                	 </td>
                	 <td bordercolor="#000000" colspan="7" height="25">
                	 	<input class="text" name="ieiPost" value="${ieiPost}" type="text" style="width:100%" />
                	 </td>
                </tr>
            
                <tr>
    			 <td rowspan="2" bordercolor="#000000" colspan="1" height="40" align="center">登记发证</td>
    			 <td rowspan="2" bordercolor="#000000" colspan="3" height="40">准运证编号</td>
    			 <td rowspan="2" bordercolor="#000000" colspan="6" height="40">
    			   <textarea class="text" name="zyzhm" rows="2" style="width:100%">${zyzhm}</textarea>
    			 </td>
    			 <td scope="col" bordercolor="#000000" colspan="3" height="20">发证人</td>
    			 <td scope="col" bordercolor="#000000" colspan="7" height="20">
    			   <input class="text" name="fzr" value="${fzr}" type="text" style="width:100%" />
    			 </td>
               </tr>
               <tr>
                 <td bordercolor="#000000" colspan="3" height="20">运输公司签收人</td>
                 <td bordercolor="#000000" colspan="7" height="20">
                   <input class="text" name="ysgsqsr" value="${ysgsqsr}" type="text" style="width:100%" />
                 </td>
               </tr>
              </table></td>
            </tr>
            <tr>
              <td>&nbsp;</td>
            </tr>
         <tr>
        <td>&nbsp;</td>
      </tr>
    </table>